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Most of us have heard of the term prostatitis. This term means an inflammation (acute or chronic) of the prostate gland in men. The main reason for its development is considered to be the penetration of a certain infectious agent directly into the prostate gland. As a matter of fact, the anatomical location of the prostate in the pelvis contributes to this process to a large extent.

  1. Description
  2. Symptoms
  3. Diagnosis
  4. Prevention
  5. Treatment


Often the infection can get into the male prostate gland directly from the bladder or, for example, from the affected urethra, as well as from the rectum, making its way through numerous blood and, in some cases, lymph vessels of the male pelvis.


And yet, the mere temporary occurrence of the infection in the prostate doesn’t cause all of the manifestations of the mentioned disease to appear. Moreover, for the prostatitis to develop accompanied by unpleasant symptoms certain predisposing factors must be present. And usually such factors are:

  • Quite strong general hypothermia of the whole body. A man, for example, may fall into an ice hole in winter; stay on a frozen train for a couple of hours; sit on the cold stones for a long period of time, and so forth.
  • Too frequent and painful constipations. Prostatitis can cause more than just an occasional constipation, but rather a regular failure to pass stools.
  • A confining job can also be the cause of the development of prostatitis. Doctors believe that people at risk of getting this disease mainly work as drivers, computer operators and those who sit full-time, and, thus, have no real possibility (or simply lazy) to spend a few minutes to get up and get a little exercise.
  • Another provoking factor is an extremely long (temporary) continence, as well as on the contrary, an excessive and promiscuous sexual activity. Note that both are equally harmful to the male body in general, but mainly have an extremely negative impact on the state of health of the prostate.
  • Sedentary (in general) lifestyle influences the development of prostatitis.
  • Inadequately treated chronic inflammatory diseases constantly developing in a man’s body (for instance, chronic bronchitis), as well as other chronic foci of a dangerous infection in men (for example, tonsillitis, or untimely treated carious teeth).
  • Previously had disease of venereal or urological nature (such as gonorrhea, or the very same urethritis).
  • Many other conditions that contribute to suppression (in general) of the immune system of the male body (for example, overtraining is common for many athletes, regular excessive lack of sleep, constant overwork, poor or irregular nutrition, chronic stress, etc.)

These factors make it very easy for the numerous microbes to find their way directly to the prostate gland, or else lead to a significant deterioration of the normal blood supply to almost all existing pelvic organs, cause numerous congestive processes, which, ultimately, promotes dynamic reproduction of microorganisms and, as a consequence, the development of a new inflammation.

In cases when the patient with an acute form of prostatitis, for whatever reason, does not wish to promptly seek professional medical care, he is very likely to have prostate abscess – a type of focal purulent inflammation.

The case of chronic prostatitis is quite different. Its course is always undulating, provided that periodic exacerbations may give way to more or less lasting remission periods, during which the disease shows absolutely no effect.

As a result, many men expect to just sit the disease out at home without going to the doctor. However, it is not the best way out of this situation. At least because during each new aggravation the existing inflammatory process spreads further and further.

If such pathological process spreads exclusively within the urinary system, it can lead to the development of acute cystitis or pyelonephritis. However, the process often ends with such complications of prostatitis as vesiculitis, which is an inflammation of the seminal vesicles, or epididymo-orchitis, which is an inflammation of the testicles and all their appendages.

Of course in the end such a delay may lead to male infertility, treatment of which can be extremely difficult and long, if at all possible.


Prostatitis can often develop suddenly and unpredictably like any other form of acute inflammatory disease, of course, with all the symptoms relevant to the situation. In this case, patients always experience strong fever, when the body temperature reaches 38-39 ° C. The inflammatory process is often accompanied by severe pain in the perineum, maybe in the groin, directly behind the pubis, or in the area of the anus. Painful urination, as well as an extremely painful defecation is observed not less frequently.

However, more often such disease as prostatitis develops in its chronic form, not disturbing the man too much. Moreover, in this case all the symptoms listed above may be present but to a much less significant degree, sometimes keeping a man absolutely not aware of the disease.

symptoms of prostatitis
Pain in the perineum, lower abdomen, testicles, penis, and with ejaculation, bladder irritation, bladder outlet obstruction, and sometimes blood in the semen. Diagnosis: Typical clinical history (fevers, chills, dysuria, malaise, myalgias, pelvic/perineal pain, cloudy urine) The finding of an edematous and tender prostate on physical examination. Will have an increased PSA. Urinalysis, urine culture.

Thus, for example, the body temperature can occasionally rise up to 37 ° C. In addition, there sometimes occurs either pain or discomfort in the crotch. Patients experience unpleasant sensations that occur during urination or defecation. As a matter of fact, insignificant discharge may be seen in the urethra during defecation – it is actually one of the most obvious symptoms referring strictly to prostatitis.

Often prostatitis can develop as a complication of a certain chronic infectious disease, which is transmitted only through sexual contact, for example, chlamydia, trichomoniasis, ureaplasmosis or any other.

In such cases, the disease may be marked by some insignificant changes, for instance, discomfort arising during urination may become a little stronger, and it can also be accompanied by minor aches and other; although, most symptoms correspond to the underlying disease.

If disease is not treated for some time, it causes obvious problems with male erection. Typically, this is due to the inflammation of nerves that are responsible for normal erectile function, which physiologically pass directly through the prostate.

Besides, chronic prostatitis usually really negatively affects overall health and well-being of a man, making him extremely irritable, constantly grumbling, extremely unhappy with the circumstances and obsessed with his own well-being only. And often it may be manifested so clearly that doctors say that it is not only an experienced urologist, but also a no less experienced psychologist who can successfully cure prostatitis.

When prostatitis leads to such complication as prostate abscess, the focal purulent inflammation makes symptoms much more severe.

Namely, in this case, the body temperature may rise up to 39-41 ° C, and what is even more dangerous, it may have a hectic nature (actual temperature difference can exceed 1 ° C). In this case, intense fever may periodically give way to sharp chills; pain in the perineum may be expressed so severely that the process of urination and defecation becomes practically impossible.

Later, in the absence of treatment the prostate gland itself swells severely, which leads to acute urinary retention. Fortunately, a rare man let’s himself bring the disease to these stages. It is more often that patients suffering from acute prostatitis turn to doctors for help quite in time.


Usually the diagnosis of an acute form of prostatitis, as well as of its chronic form is not complicated for the urologist. In most cases, after the initial survey and a standard physical examination, the doctor conducts the usual digital rectal examination of the prostate and takes the secretion of the prostate for the analysis.

Although, it is not only an unpleasant, but also a rather painful during the inflammatory process procedure, it, unfortunately, is absolutely necessary and irreplaceable.

Transrectal ultrasound is another very important diagnostic procedure if suspecting prostatitis.

prostatitis diagnostics

Also, before starting any treatment, when the patient is suspected to be suffering from prostatitis, he needs to undergo a urine culture and prostate secretions tests in order to define the sensitivity of the existing flora to numerous groups of antibacterial drugs before start. Treatment is unlikely to be effective without this analysis and won’t help get rid of the disease but perhaps will lead to its transformation into a new, even more complex form.


For the prevention of prostatitis men should not get chilled or stay out in the cold for too long, sit on the cool stones, curbs and so on.

If a man has a sedentary job, he should try to get up every hour in order to get some exercise. If he suffers from frequent constipations, he should use safe laxatives.

It is desirable that a man maintains a regular, but not excessive sex life, which, no doubt, will prevent him not only from the development of prostatitis. After treating unpleasant diseases one should be sure to visit the appropriate specialists as a precaution.

It is also important to have regular and balanced nutrition, try to keep a reasonably active way of life, try not to get ill and think about staying healthy.


It is believed that prostatitis is an extremely difficult and cunning disease, and therefore, its treatment represents a significant problem for doctors around the world. However, it certainly does not mean that the medicine is not able to help the patient suffering from prostatitis.

In any case, combination therapy with a competent selection of drugs and other therapeutic measures is the only way to cure prostatitis.

As a rule, such modern measures of treatment as a powerful antibiotic therapy, full massage of the affected prostate, physiotherapy, powerful immunocorrective therapy, as well as the correction of certain former lifestyle is proved to be effective in treating the disease. Only a set of such procedures can lead to the required and desired effect.

Using powerful antibacterial drugs for the treatment of prostatitis is conditioned due to the fact that it is still an infectious disease that is caused by certain pathogenic bacteria. However, the drug for such therapy should be selected appropriately and only after a strictly suitable diagnostics.

The patient should be aware that antibiotic treatment should not be interrupted or suspended, as this may lead to a transition of the disease to the chronic form.

Most men consider prostate massage to be the most horrible, unpleasant, painful and humiliating procedure. However, the prostate massage is as effective as possible, because it is a manual extrusion of the inflammatory secretions that constantly accumulates in the gland.

Also this massage improves overall prostate blood supply that increases the impact of antibacterial therapy hundreds of times.

Physical therapy can be used in a variety of options, but in any case, its impact is intended to enhance the overall blood circulation in all the pelvic organs.

Immunotherapy is often necessary with this pathology (especially the chronic form), because a prolonged course of the inflammatory process has a very negative impact on the immune system of a man.